Labour market attachment after mild traumatic brain injury: nationwide cohort study with 5-year register followup in Denmark

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Labour market attachment after mild traumatic brain injury : nationwide cohort study with 5-year register followup in Denmark. / Graff, Heidi Jeannet; Siersma, Volkert Dirk; Møller, Anne ; Kragstrup, Jakob; Andersen, Lars L; Egerod, Ingrid; Rytter, Hana Malá.

In: BMJ Open, Vol. 9:e026104, e026104, 2019.

Research output: Contribution to journalJournal articleResearchpeer-review

Harvard

Graff, HJ, Siersma, VD, Møller, A, Kragstrup, J, Andersen, LL, Egerod, I & Rytter, HM 2019, 'Labour market attachment after mild traumatic brain injury: nationwide cohort study with 5-year register followup in Denmark', BMJ Open, vol. 9:e026104, e026104. https://doi.org/10.1136/ bmjopen-2018-026104

APA

Graff, H. J., Siersma, V. D., Møller, A., Kragstrup, J., Andersen, L. L., Egerod, I., & Rytter, H. M. (2019). Labour market attachment after mild traumatic brain injury: nationwide cohort study with 5-year register followup in Denmark. BMJ Open, 9:e026104, [e026104]. https://doi.org/10.1136/ bmjopen-2018-026104

Vancouver

Graff HJ, Siersma VD, Møller A, Kragstrup J, Andersen LL, Egerod I et al. Labour market attachment after mild traumatic brain injury: nationwide cohort study with 5-year register followup in Denmark. BMJ Open. 2019;9:e026104. e026104. https://doi.org/10.1136/ bmjopen-2018-026104

Author

Graff, Heidi Jeannet ; Siersma, Volkert Dirk ; Møller, Anne ; Kragstrup, Jakob ; Andersen, Lars L ; Egerod, Ingrid ; Rytter, Hana Malá. / Labour market attachment after mild traumatic brain injury : nationwide cohort study with 5-year register followup in Denmark. In: BMJ Open. 2019 ; Vol. 9:e026104.

Bibtex

@article{f2c3ad2a004b4800a5b500c39dc8e5f3,
title = "Labour market attachment after mild traumatic brain injury: nationwide cohort study with 5-year register followup in Denmark",
abstract = "Objectives Sickness absence after mild traumatic braininjury (mTBI) is frequent due to postconcussive symptoms.We examined labour market attachment following mTBI upto 5 years postinjury.Design and setting Nationwide cohort study with registerfollow-up.Participants Patients between 18 and 60 years withmTBI (International Classification of Diseases, version10 diagnosis S06.0) were extracted from the DanishNational Patient Register (n=19 732). Controls werematched on sex, age and municipality (n=18 640).Patients with spinal cord and column injuries, traumaticbrain injury and concussions 5 years preinjury or assecondary diagnosis to the concussion in the inclusionperiod were excluded.Primary and secondary outcome measures Datawere extracted from the Danish Register for Evaluationof Marginalization. Primary outcome was ‘not attendingordinary work’ defined as receiving any social transferpayment. Secondary outcomes were health-relatedbenefits, limited attachment to the labour market,permanent lack of attachment to the labour market anddeath.Results 5 years after diagnosis, 43{\%} of patients werenot attending ordinary work. The odds increased from6 months (OR 1.30, 95{\%} CI 1.24 to 1.36) to 5 years (OR1.54, 95{\%} CI 1.45 to 1.63). The odds of health-relatedbenefits were 32{\%} (OR 1.32, 95{\%} CI 1.22 to 1.42) at 6months and 22{\%} (OR 1.22, 95{\%} CI 1.12 to 1.33) at 5years. Limited attachment to the labour market showedincreased odds at 5 years (OR 1.38, 95{\%} CI 1.27 to 1.51)and the odds of permanent lack of attachment to the labour market were higher for patients compared with controls (OR 2.59, 95{\%} CI 2.30 to 2.92). Death was more than two times higher at 5 years postinjury (OR 2.62, 95{\%} CI 2.10 to 3.26).Conclusions 43{\%} of concussed patients were not attending ordinary work 5 years postinjury and received health and social transfer benefits. We conclude that mTBI has a long-term impact on labour market attachment.Prevention and treatment of persisting postconcussive symptoms should be considered.Trial registration number NCT03214432; Results",
keywords = "Faculty of Social Sciences, The Faculty of Health and Medical Sciences",
author = "Graff, {Heidi Jeannet} and Siersma, {Volkert Dirk} and Anne M{\o}ller and Jakob Kragstrup and Andersen, {Lars L} and Ingrid Egerod and Rytter, {Hana Mal{\'a}}",
year = "2019",
doi = "10.1136/ bmjopen-2018-026104",
language = "English",
volume = "9:e026104",
journal = "B M J Open",
issn = "2044-6055",
publisher = "BMJ Publishing Group",

}

RIS

TY - JOUR

T1 - Labour market attachment after mild traumatic brain injury

T2 - nationwide cohort study with 5-year register followup in Denmark

AU - Graff, Heidi Jeannet

AU - Siersma, Volkert Dirk

AU - Møller, Anne

AU - Kragstrup, Jakob

AU - Andersen, Lars L

AU - Egerod, Ingrid

AU - Rytter, Hana Malá

PY - 2019

Y1 - 2019

N2 - Objectives Sickness absence after mild traumatic braininjury (mTBI) is frequent due to postconcussive symptoms.We examined labour market attachment following mTBI upto 5 years postinjury.Design and setting Nationwide cohort study with registerfollow-up.Participants Patients between 18 and 60 years withmTBI (International Classification of Diseases, version10 diagnosis S06.0) were extracted from the DanishNational Patient Register (n=19 732). Controls werematched on sex, age and municipality (n=18 640).Patients with spinal cord and column injuries, traumaticbrain injury and concussions 5 years preinjury or assecondary diagnosis to the concussion in the inclusionperiod were excluded.Primary and secondary outcome measures Datawere extracted from the Danish Register for Evaluationof Marginalization. Primary outcome was ‘not attendingordinary work’ defined as receiving any social transferpayment. Secondary outcomes were health-relatedbenefits, limited attachment to the labour market,permanent lack of attachment to the labour market anddeath.Results 5 years after diagnosis, 43% of patients werenot attending ordinary work. The odds increased from6 months (OR 1.30, 95% CI 1.24 to 1.36) to 5 years (OR1.54, 95% CI 1.45 to 1.63). The odds of health-relatedbenefits were 32% (OR 1.32, 95% CI 1.22 to 1.42) at 6months and 22% (OR 1.22, 95% CI 1.12 to 1.33) at 5years. Limited attachment to the labour market showedincreased odds at 5 years (OR 1.38, 95% CI 1.27 to 1.51)and the odds of permanent lack of attachment to the labour market were higher for patients compared with controls (OR 2.59, 95% CI 2.30 to 2.92). Death was more than two times higher at 5 years postinjury (OR 2.62, 95% CI 2.10 to 3.26).Conclusions 43% of concussed patients were not attending ordinary work 5 years postinjury and received health and social transfer benefits. We conclude that mTBI has a long-term impact on labour market attachment.Prevention and treatment of persisting postconcussive symptoms should be considered.Trial registration number NCT03214432; Results

AB - Objectives Sickness absence after mild traumatic braininjury (mTBI) is frequent due to postconcussive symptoms.We examined labour market attachment following mTBI upto 5 years postinjury.Design and setting Nationwide cohort study with registerfollow-up.Participants Patients between 18 and 60 years withmTBI (International Classification of Diseases, version10 diagnosis S06.0) were extracted from the DanishNational Patient Register (n=19 732). Controls werematched on sex, age and municipality (n=18 640).Patients with spinal cord and column injuries, traumaticbrain injury and concussions 5 years preinjury or assecondary diagnosis to the concussion in the inclusionperiod were excluded.Primary and secondary outcome measures Datawere extracted from the Danish Register for Evaluationof Marginalization. Primary outcome was ‘not attendingordinary work’ defined as receiving any social transferpayment. Secondary outcomes were health-relatedbenefits, limited attachment to the labour market,permanent lack of attachment to the labour market anddeath.Results 5 years after diagnosis, 43% of patients werenot attending ordinary work. The odds increased from6 months (OR 1.30, 95% CI 1.24 to 1.36) to 5 years (OR1.54, 95% CI 1.45 to 1.63). The odds of health-relatedbenefits were 32% (OR 1.32, 95% CI 1.22 to 1.42) at 6months and 22% (OR 1.22, 95% CI 1.12 to 1.33) at 5years. Limited attachment to the labour market showedincreased odds at 5 years (OR 1.38, 95% CI 1.27 to 1.51)and the odds of permanent lack of attachment to the labour market were higher for patients compared with controls (OR 2.59, 95% CI 2.30 to 2.92). Death was more than two times higher at 5 years postinjury (OR 2.62, 95% CI 2.10 to 3.26).Conclusions 43% of concussed patients were not attending ordinary work 5 years postinjury and received health and social transfer benefits. We conclude that mTBI has a long-term impact on labour market attachment.Prevention and treatment of persisting postconcussive symptoms should be considered.Trial registration number NCT03214432; Results

KW - Faculty of Social Sciences

KW - The Faculty of Health and Medical Sciences

U2 - 10.1136/ bmjopen-2018-026104

DO - 10.1136/ bmjopen-2018-026104

M3 - Journal article

VL - 9:e026104

JO - B M J Open

JF - B M J Open

SN - 2044-6055

M1 - e026104

ER -

ID: 216509432